ArticleInternational journal of environmental research and public health2015
Local Health Departments' Activities to Address Health Disparities and Inequities: Are We Moving in the Right Direction?
Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Saying and doing are different things: a scoping review on how health equity is conceptualized when considering healthcare system performance.International journal for equity in health · 2023Article
- Associations Between Local Health Department Expenditures on Foundational Capabilities and PHAB Accreditation Standards Scores.Frontiers in public health · 2022Article
- Changes Over Time in Disparities in Health Behaviors and Outcomes by Race in Allegheny County: 2009 to 2015.Journal of racial and ethnic health disparities · 2020Article
- Integrating local health departments to reduce suicide-related emergency department visits among people with substance use disorders - Evidence from the state of Maryland.Preventive medicine · 2019Article
- Academic and Government Partnerships to Address Diabetes in the USA: a Narrative Review.Current diabetes reports · 2017Review
- Creating a Taxonomy of Local Boards of Health Based on Local Health Departments' Perspectives.American journal of public health · 2017Article
- Practice-Based Research From the Frontlines: Selected Strategies for Reducing Health Disparities and Accelerating Progress Toward Health Equity in the United States.Public health reports (Washington, D.C. : 1974)Article
- Informatics as a Strategic Priority and Collaborative Processes to Build a Smarter, Forward-Looking Health Department.Journal of public health management and practice : JPHMPArticle
- Employee Perceptions About Public Health Agencies' Desired Involvement in Impacting Health Equity and Other Social Determinants of Health.Journal of public health management and practice : JPHMPObservational
- Local Health Department Activities to Reduce Emergency Department Visits for Substance Use Disorders.Journal for healthcare quality : official publication of the National Association for Healthcare QualityArticle
- Developing Core Capabilities for Local Health Departments to Engage in Land Use and Transportation Decision Making for Active Transportation.Journal of public health management and practice : JPHMPArticle
- Interoperability of Information Systems Managed and Used by the Local Health Departments.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
contextHealth disparities are among the critical public health challenges.
objectivesTo analyze the extent to which local health departments (LHDs) perform activities for addressing health disparities, changes in proportion of LHDs' performing those activities since 2005, and factors associated with variation in such engagement.
methodsWe used the 2013 National Profile of LHDs Survey to perform Logistic Regression of activities LHDs performed to address health disparities.
resultsAbout 20 percent of LHDs did not perform any activity to address health disparities. Significant decreases occurred since 2005 in the proportion of LHDs that performed health disparity reduction/elimination activities for four activities. LHD characteristics significantly associated (p≤0.05) with the increased likelihood of performing activities to address health disparities were: recent completion of community health assessment, community health improvement plan and agency wide strategic plan. Other significant positive impacts on such activities included per capita expenditures, local governance, having one or more local boards of health, larger population size and metropolitan status of the LHD jurisdiction.
conclusionsReduced infrastructural capacity of LHDs has resulted in fewer LHDs addressing health disparities in their jurisdictions. LHD characteristics associated with higher performance of activities for health disparity reduction identified by this research have important policy implications.
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